«VII. Services to be provided» is the section in which we describe exactly the tasks that the caregiver will perform when employed by the recipient. First, we need to consolidate the physical address where the caregiver will work. Use the first space in this section to specify the building number, street name, unit number, city, state, and zip code where the caregiver must go when providing services to the recipient. As a rule, this is the caregiver`s home. Would you like to rent health care at home? A home health contract gives you peace of mind by setting out the terms of your agreement with the nurse or health professional. Use it. The next task will be to provide the calendar date by which both parties expect the other to fulfill the obligations imposed on them by this Agreement. This «Effective Date» must be the calendar month and day in the first empty field of «II. Duration of the agreement», and then returns the calendar year of that date in the second empty line. Article I provides a method for naming the two participants in this Agreement and identifying the role of each individual in relation to the other.

Before we begin, we must document the date of this contract by specifying the month and calendar day of the contract in the first empty field and the year in the second empty field. When organizing care for an elderly person, a home health care contract highlights important details that the patient may not be able to communicate, such as medications, meals, and schedule. And for home healthcare providers, this agreement clarifies your responsibilities and powers. Create a home nursing contract in minutes with our simple step-by-step process. If you have legal needs outside of the home health care contract, please read our full list of customizable service contracts. Other names for this document: Home Caregiver Contract, Home Health Services Contract, Home Health Care Agreement If the caregiver hired is a family member or friend who will live in the same house, there may be tax benefits for the employer. Simply put, if the caregiver is there to «take care» of the patient and does not spend more than 20% of their daily activities to care for them, the caregiver may not be entitled to the minimum wage. A care contract is a way to hire a person or nurse to take care of someone else for a fee. The caregiver may be a personal friend or family member, and it is recommended to determine the patient`s condition to be a registered nurse. The caregiver is generally required to provide balanced meals, clean the room or house, clean, run errands, and take care of personal care needs.

When the patient is aware of their surroundings, there is usually a community of trust that forms over time. «III. Purpose» must be read and understood by both parties before signing. The next article that requires special attention is «IV Employment Status». Two checkbox definitions have been provided for this section, so that employment status can be set simply by checking the box that fits the best definition. If the recipient issues a W-2 to the supervisor and fulfills an employer`s obligations as such, select the W-9 Employee check box. Please note that if the custodian is a «W-9 employee», you will need to complete the page entitled «Exhibit A», which must be signed by both parties at the end. If the supervisor performs his duties on a contractual basis, manages his own taxes and the beneficiary intends to complete/issue tax form 1099 to the supervisor at the end of the tax year, check the box «1099 Independent Contractor». Article «V. Compensation» will provide a report on what the caregiver receives for his or her services to the beneficiary. Look for the empty field for the dollar sign, and then indicate the hourly, daily, weekly, or annual wage that the caregiver will receive. Don`t forget to put a marker in the field labeled «Schedule», «Daily», «Weekly» or «Annual» to better define the previously declared salary.

Some additional definitions should be given to «V. Compensation. Find the bold labels «Hausmeister`s commitment» and «Room and board». If the caregiver does not live with the beneficiary, check the box labeled «Caregiver Commitment» and then check one of the two boxes under this label to indicate when the caregiver must work for the beneficiary. If there are a certain number of hours per week, check the box that indicates the statement «For at least…» Then fill in the minimum number of hours/week that the caregiver must work to fulfill this contract. If the caregiver is expected to work only when needed, select the check box attached to the On Demand selection. Once the information we have reported to define the responsibilities of the caregiver and the beneficiary, we must solidify the state government that will regulate this contract. In the blank line, enter the state that regulates these terms in «XII. Governing Law.

Now, each party mentioned in the first article must sign this document and print their name. The recipient must sign their name in the Recipient`s Signature line, and then indicate the calendar date on which they signed these documents in the adjacent line (labeled «Date»). The «Caregiver Signature» line must be signed by the caregiver, while the «Date» line is on the right. Depending on the situation, the caregiver may be considered an employee or independent contractor under state and federal laws. Medical Authority – Gives the caregiver the right to make health care decisions on behalf of someone else. This is common when the patient is unable to speak for himself and a caregiver is tasked with making decisions for the benefit of the patient. This form also contains a living will that allows the patient to make end-of-life decisions if he or she is unable to work for a longer period of time. When a caregiver and caregiver enter into an employment relationship, it is often recommended to ensure that the employment contract is on paper.

This type of documentation is available via the buttons that label the image on this page. You may download any version of this template (Adobe PDF, Microsoft Word (.docx), or Open Document Text (.odt)) at your sole discretion. A caregiver is a person who is paid to care for another person, usually a senior or a person with special needs. A caregiver is paid to provide daily care such as transportation, meal preparation, household chores, and any other needs of the person. The caregiver usually follows a weekly schedule, which is set out either in the agreement or by the parties. 5 – The expected benefits of the caregiver must be identified 6 – A report on where and when the effect of this agreement will be realized must be attached to the signature of the party. Now, in the blank line labeled «Recipient,» enter the full name of the person receiving the services provided by the custodian. Finally, use the last blank line here to display the full name of the maintainer. 4 – Caregiver compensation and planning should be detailed If the caregiver`s employment status is a W-9 employee, «Exhibit A» on the last page should be used to define the caregiver`s performance and disclose some important information when that employment status is recorded. Once this page has been completed and read by both parties, each party must sign their name and then indicate the calendar date on which they signed this page. 1 – Save these documents to document the contractual services of a caregiver If the caregiver lives with the beneficiary, check the «Room and meals» box.

You must also define this housing arrangement by checking the box «Provide accommodation and meals and pay for all related expenses» or «Pay caregivers…» » Checkbox.. .